Individual
ANEISHA DUNMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 995-3869
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 995-3869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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